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一项针对初级护理护士的教育干预对产后抑郁症的影响:一项准实验研究。

Impact of an educational intervention on postpartum depression for primary care nurses: a quasi-experimental study.

作者信息

Silva Débora Alves da, Coimbra Marli Aparecida Reis, Santana Lucas Carvalho, Leocádio Maria Aline, Zuffi Fernanda Bonato, Ferreira Lúcia Aparecida

机构信息

Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.

Universidade Federal do Triângulo Mineiro, Hospital de Clínicas, Uberaba, MG, Brazil.

出版信息

Rev Esc Enferm USP. 2025 Sep 8;59:e20250032. doi: 10.1590/1980-220X-REEUSP-2025-0032en. eCollection 2025.

DOI:10.1590/1980-220X-REEUSP-2025-0032en
PMID:40920955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12416864/
Abstract

OBJECTIVE

To evaluate the impact of an educational intervention on nursing care for women with signs of postpartum depression for primary health care nurses.

METHOD

Quasi-experimental, before-and-after study carried out with 14 primary health care nurses from a municipality, who participated in an educational intervention on nursing care for women with signs of postpartum depression. Qualitative data analysis was carried out before and after the intervention, using Bardin's thematic content analysis.

RESULTS

From the comparison of the content responses before and after the intervention, the nurses presented more knowledge about postpartum depression, especially in specific signs and symptoms, and improvement in the recognition and management of baby blues; they began using scales for screening and better monitoring of emotional symptoms; they began adopting more humanized practices, in addition to reporting greater safety in care and multidisciplinary integration.

CONCLUSION

The intervention had a positive impact and expanded nurses' knowledge, skills, and attitudes regarding postpartum depression, which contributed to more empathetic and comprehensive care. ReBEC: RBR-3hv3hhs.

摘要

目的

评估一项教育干预措施对基层医疗护士护理有产后抑郁迹象妇女的影响。

方法

采用准实验性前后对照研究,对来自一个市的14名基层医疗护士进行研究,这些护士参与了针对有产后抑郁迹象妇女的护理教育干预。在干预前后进行定性数据分析,采用巴丁主题内容分析法。

结果

通过比较干预前后的内容回答,护士们对产后抑郁有了更多了解,尤其是在特定体征和症状方面,并且在识别和处理产后情绪低落方面有所改善;他们开始使用量表进行筛查并更好地监测情绪症状;除了报告护理中的更高安全性和多学科整合外,他们还开始采用更人性化的做法。

结论

该干预产生了积极影响,扩大了护士关于产后抑郁的知识、技能和态度,这有助于提供更具同理心和全面的护理。注册号:RBR-3hv3hhs。

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本文引用的文献

1
Timing of Postpartum Depressive Symptoms.产后抑郁症状出现时间。
Prev Chronic Dis. 2023 Nov 9;20:E103. doi: 10.5888/pcd20.230107.
2
Long-Term Effects of Maternal Depression during Postpartum and Early Parenthood Period on Child Socioemotional Development.产后及育儿早期母亲抑郁对儿童社会情感发展的长期影响。
Children (Basel). 2023 Oct 23;10(10):1718. doi: 10.3390/children10101718.
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Listening and valuing clients: conceptions and practices in the care management in the Family Health Strategy.倾听和重视客户:家庭健康战略中的关怀管理的概念和实践。
Cien Saude Colet. 2023 Aug;28(8):2283-2290. doi: 10.1590/1413-81232023288.05952023. Epub 2023 Apr 26.
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Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas.正念水平在初产妇婚姻质量与产后抑郁关系中的中介作用。
World J Clin Cases. 2023 Apr 26;11(12):2729-2739. doi: 10.12998/wjcc.v11.i12.2729.
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Exploring the Healthcare Services' Contribution to Reducing Postpartum Depression.探索医疗服务对降低产后抑郁症的贡献。
SAGE Open Nurs. 2023 May 7;9:23779608231171780. doi: 10.1177/23779608231171780. eCollection 2023 Jan-Dec.
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The Impact of the COVID-19 Pandemic on Perinatal Depression and Anxiety: A Large Cross-sectional Study in Spain.新冠疫情对围产期抑郁和焦虑的影响:西班牙的一项大型横断面研究
Psicothema. 2022 May;34(2):200-208. doi: 10.7334/psicothema2021.380.
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Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review.家庭访视为围产期抑郁症的公平干预措施:一项范围综述
Front Psychiatry. 2022 Mar 18;13:826673. doi: 10.3389/fpsyt.2022.826673. eCollection 2022.
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Mapping global prevalence of depression among postpartum women.绘制全球产后女性抑郁症患病率地图。
Transl Psychiatry. 2021 Oct 20;11(1):543. doi: 10.1038/s41398-021-01663-6.
9
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J Affect Disord. 2022 Jan 1;296:577-586. doi: 10.1016/j.jad.2021.09.091. Epub 2021 Oct 1.
10
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Midwifery. 2021 Sep;100:103039. doi: 10.1016/j.midw.2021.103039. Epub 2021 May 16.